How much rates vary
Facilitymedian $457 · 10th to 90th $166 to $708Professionalmedian $138 · 10th to 90th $23 to $1,023
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $104.71 Median $125.89 Typical High $218.78 | Facility | None | $104.71 | $125.89 | $218.78 |
Aetna Setting Facility Modifier TC · Technical part Typical Low $97.72 Median $128.82 Typical High $380.19 | Facility | TC · Technical part | $97.72 | $128.82 | $380.19 |
Aetna Setting Professional Modifier None (both parts) Typical Low $104.71 Median $128.82 Typical High $213.80 | Professional | None (both parts) | $104.71 | $128.82 | $213.80 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $29.51 Typical High $48.98 | Professional | 26 · Professional part | $23.44 | $29.51 | $48.98 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $100.00 Typical High $165.96 | Professional | TC · Technical part | $81.28 | $100.00 | $165.96 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $117.49 Median $117.49 Typical High $147.91 | Professional | None (both parts) | $117.49 | $117.49 | $147.91 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $27.54 Median $27.54 Typical High $33.88 | Professional | 26 · Professional part | $27.54 | $27.54 | $33.88 |
BCBS Texas Setting Facility Modifier None Typical Low $165.96 Median $380.19 Typical High $676.08 | Facility | None | $165.96 | $380.19 | $676.08 |
BCBS Texas Setting Professional Modifier None (both parts) Typical Low $31.62 Median $131.83 Typical High $269.15 | Professional | None (both parts) | $31.62 | $131.83 | $269.15 |
Baylor Scott & White Setting Facility Modifier None Typical Low $158.49 Median $323.59 Typical High $977.24 | Facility | None | $158.49 | $323.59 | $977.24 |
Christus Setting Facility Modifier None Typical Low $707.95 Median $707.95 Typical High $707.95 | Facility | None | $707.95 | $707.95 | $707.95 |
Christus Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $34.67 | $34.67 | $34.67 |
Cigna Setting Facility Modifier None Typical Low $97.72 Median $436.52 Typical High $912.01 | Facility | None | $97.72 | $436.52 | $912.01 |
Cigna Setting Professional Modifier None (both parts) Typical Low $151.36 Median $190.55 Typical High $245.47 | Professional | None (both parts) | $151.36 | $190.55 | $245.47 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $42.66 Typical High $64.57 | Professional | 26 · Professional part | $37.15 | $42.66 | $64.57 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $141.25 Typical High $181.97 | Professional | TC · Technical part | $114.82 | $141.25 | $181.97 |
Health Smart Setting Professional Modifier None (both parts) Typical Low $128.82 Median $199.53 Typical High $199.53 | Professional | None (both parts) | $128.82 | $199.53 | $199.53 |
Lucent Health Setting Professional Modifier None (both parts) Typical Low $1,023.29 Median $1,023.29 Typical High $1,318.26 | Professional | None (both parts) | $1,023.29 | $1,023.29 | $1,318.26 |
Lucent Health Setting Professional Modifier 26 · Professional part Typical Low $281.84 Median $281.84 Typical High $288.40 | Professional | 26 · Professional part | $281.84 | $281.84 | $288.40 |
Lucent Health Setting Professional Modifier TC · Technical part Typical Low $794.33 Median $794.33 Typical High $1,047.13 | Professional | TC · Technical part | $794.33 | $794.33 | $1,047.13 |
Moda Health Setting Facility Modifier None Typical Low $125.89 Median $588.84 Typical High $2,137.96 | Facility | None | $125.89 | $588.84 | $2,137.96 |
Moda Health Setting Professional Modifier None (both parts) Typical Low $104.71 Median $134.90 Typical High $218.78 | Professional | None (both parts) | $104.71 | $134.90 | $218.78 |
Moda Health Setting Professional Modifier 26 · Professional part Typical Low $23.44 Median $30.90 Typical High $52.48 | Professional | 26 · Professional part | $23.44 | $30.90 | $52.48 |
Moda Health Setting Professional Modifier TC · Technical part Typical Low $81.28 Median $97.72 Typical High $165.96 | Professional | TC · Technical part | $81.28 | $97.72 | $165.96 |
Molina Setting Professional Modifier None (both parts) Typical Low $19.95 Median $102.33 Typical High $169.82 | Professional | None (both parts) | $19.95 | $102.33 | $169.82 |
Oscar Health Setting Professional Modifier None (both parts) Typical Low $38.90 Median $154.88 Typical High $331.13 | Professional | None (both parts) | $38.90 | $154.88 | $331.13 |
Providence Setting Facility Modifier None Typical Low $97.72 Median $177.83 Typical High $537.03 | Facility | None | $97.72 | $177.83 | $537.03 |
Providence Setting Professional Modifier None (both parts) Typical Low $151.36 Median $190.55 Typical High $245.47 | Professional | None (both parts) | $151.36 | $190.55 | $245.47 |
Providence Setting Professional Modifier 26 · Professional part Typical Low $37.15 Median $42.66 Typical High $61.66 | Professional | 26 · Professional part | $37.15 | $42.66 | $61.66 |
Providence Setting Professional Modifier TC · Technical part Typical Low $114.82 Median $138.04 Typical High $173.78 | Professional | TC · Technical part | $114.82 | $138.04 | $173.78 |
United Setting Facility Modifier None Typical Low $831.76 Median $870.96 Typical High $1,148.15 | Facility | None | $831.76 | $870.96 | $1,148.15 |
United Setting Professional Modifier None (both parts) Typical Low $123.03 Median $162.18 Typical High $229.09 | Professional | None (both parts) | $123.03 | $162.18 | $229.09 |
United Setting Professional Modifier 26 · Professional part Typical Low $28.18 Median $37.15 Typical High $54.95 | Professional | 26 · Professional part | $28.18 | $37.15 | $54.95 |
United Setting Professional Modifier TC · Technical part Typical Low $93.33 Median $120.23 Typical High $169.82 | Professional | TC · Technical part | $93.33 | $120.23 | $169.82 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $154.88 Median $154.88 Typical High $154.88 | Professional | None (both parts) | $154.88 | $154.88 | $154.88 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $34.67 Median $34.67 Typical High $34.67 | Professional | 26 · Professional part | $34.67 | $34.67 | $34.67 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $120.23 Median $120.23 Typical High $120.23 | Professional | TC · Technical part | $120.23 | $120.23 | $120.23 |
6 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier 52 · Reduced service Typical Low $52.48 Median $81.28 Typical High $190.55 | Facility | 52 · Reduced service | $52.48 | $81.28 | $190.55 |
Aetna Setting Facility Modifier 53 · Discontinued Typical Low $20.89 Median $32.36 Typical High $75.86 | Facility | 53 · Discontinued | $20.89 | $32.36 | $75.86 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $63.10 Typical High $83.18 | Professional | 52 · Reduced service | $52.48 | $63.10 | $83.18 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $25.70 Typical High $33.11 | Professional | 53 · Discontinued | $20.89 | $25.70 | $33.11 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $52.48 Median $63.10 Typical High $83.18 | Professional | 52 · Reduced service | $52.48 | $63.10 | $83.18 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $20.89 Median $25.70 Typical High $33.11 | Professional | 53 · Discontinued | $20.89 | $25.70 | $33.11 |
Where Texas sits
The same service costs 3.0 times more in Alaska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Texas· 49th of 51
$138
AK $380UT $129
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.